History: Patient referred to rule out a keratoacanthoma on his left forearm. Lesion had been present 10 years but had recently started enlarging over the last six months. He also requested removal of a "mole" on his right neck. His PMH was significant for Hashimoto's thyroiditis.

Exam: PHYSICAL EXAM: 1. A 5X7mm erythematous,firm, exophytic growth was present on his distal forearm.
2. A firm 1X1.5cm pedunculated flesh-colored mass
was present on the right side of his neck.
3. Adenoid facies was observed.
4. A high-arched palate was present.
5. There was a light flesh-colored to white 2X3mm papule on his left nasal alar fold.
LABORATORY: None

History: Patient referred to rule out a keratoacanthoma on his left forearm. Lesion had been present 10 years but had recently started enlarging over the last six months. He also requested removal of a "mole" on his right neck. His PMH was significant for Hashimoto's thyroiditis.

Exam: PHYSICAL EXAM: 1. A 5X7mm erythematous,firm, exophytic growth was present on his distal forearm.
2. A firm 1X1.5cm pedunculated flesh-colored mass
was present on the right side of his neck.
3. Adenoid facies was observed.
4. A high-arched palate was present.
5. There was a light flesh-colored to white 2X3mm papule on his left nasal alar fold.
LABORATORY: None